Dr Stanford B Trachtenberg, MD is a
Radiology - Diagnostic Radiology physician based in Wilson, Wyoming. Dr Stanford B Trachtenberg is licensed to practice in Wyoming (license number 5033A) and his current practice location is 3680 Lake Creek Drive, Wilson, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 733-3642.
NPI number for Dr Stanford B Trachtenberg is 1619287414 and his current mailing address is Po Box 344, Teton Village, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619287414.
Physician's Profile
Full Name | Dr Stanford B Trachtenberg |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 3680 Lake Creek Drive, Wilson, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619287414
- Provider Enumeration Date: 10/14/2010
- Last Update Date: 10/14/2010
Medical Identifiers
Medical identifiers for Dr Stanford B Trachtenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619287414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 5033A (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stanford B Trachtenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Stanford B Trachtenberg, MD Po Box 344, Teton Village, WY 83025-0344 Ph: (307) 733-3642 | Dr Stanford B Trachtenberg, MD 3680 Lake Creek Drive, Wilson, WY 83014 Ph: (307) 733-3642 |
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